Evidence map›Paper›PMID 34600531›Full record

ArticleBMC health services research2021

Impact of Beijing healthcare reform on the curative care expenditure of outpatients with noncommunicable diseases based on SHA2011 and interrupted time series analysis.

Liming Liu, Yue Xu, Yan Jiang, Liying Zhao, Xuejun Yin, Chen Shen, Yong Yang, Qian Bai, Xiaowei Man, Wei Cheng

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Liming LiuBeijing University of Chinese Medicine, Beijing, China.
Yue XuBeijing University of Chinese Medicine, Beijing, China.
Yan JiangBeijing University of Chinese Medicine, Beijing, China.
Liying ZhaoBeijing University of Chinese Medicine, Beijing, China.
Xuejun YinThe George Institute for Global Health, University of New South Wales, Beijing, China.
Chen ShenBeijing University of Chinese Medicine, Beijing, China.
Yong YangBeijing University of Chinese Medicine, Beijing, China.
Qian BaiInstitute of Chinese Medical Sciences, University of Macau, Taipa, Macau, China.
Xiaowei ManBeijing University of Chinese Medicine, Beijing, China. manxw@bucm.edu.cn.
Wei ChengBeijing University of Chinese Medicine, Beijing, China. cwei214@vip.sina.com.
Beijing University of Chinese Medicine · CNNational Institutes of Pharmaceutical Research and Development (China) · CNGeorge Institute for Global Health · CNUniversity of Macau · MO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo analyse the changes in curative care expenditure (CCE) associated with noncommunicable diseases (NCDs) before and after the Beijing healthcare reform, thus providing a reference for the healthcare system.

methodsA total of 60 medical institutions were selected using multistage stratified cluster random sampling in Beijing, China. The records of approximately 100 million outpatients with NCDs in 2016-2018 were extracted. System of Health Accounts 2011 (SHA2011) was used to estimate the CCE. The segmented regression model was established to observe both the instant change and the slope change of intervention in interrupted time series analysis (ITSA). The study was conducted from December 2019 to May 2020 in Beijing, China.

resultsFrom SHA2011, we found that the CCE for outpatients with NCDs in Beijing were 58.59, 61.46 and 71.96 billion RMB in 2016, 2017 and 2018, respectively. The CCE continued to rise at all hospital levels, namely, tertiary, secondary, and community-level hospitals. However, the proportion of CCE in tertiary hospitals decreased. From ITSA, we can also conclude that the CCE showed a significant increasing trend change at the three hospital levels after the intervention. The drug proportion showed a significant decreasing trend change in secondary and tertiary hospitals.

conclusionsBeijing healthcare reform does have an impact on the CCE of NCDs.

Indexed as

Health ExpendituresNoncommunicable DiseasesBeijingHealth Care ReformHumansInterrupted Time Series AnalysisOutpatientsTertiary Care CentersBeijing healthcare reformCurative care expenditureInterrupted time series analysisNoncommunicable diseasesOutpatientSystem of Health Accounts 2011

Identifiers

PMID34600531
PMCPMC8487539
OpenAlexW3203619389

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.